Key result
Complete revascularization reduces CV death or MI versus culprit-only PCI in multivessel STEMI.
Why the study?
Does complete revascularization with multivessel PCI reduce cardiovascular death or myocardial infarction compared to culprit-lesion-only PCI in patients with STEMI and multivessel coronary artery disease?
Does complete revascularization with multivessel PCI reduce cardiovascular death or myocardial infarction compared to culprit-lesion-only PCI in patients with STEMI and multivessel coronary artery disease?
In patients with STEMI and multivessel disease, complete revascularization is superior to culprit-lesion-only PCI for reducing the composite of cardiovascular death or myocardial infarction.
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Supports complete revascularization as standard in STEMI with multivessel disease; strengthens RCT evidence for guidelines.
Mehta et al. (2019) studied this question. Complete revascularization in patients with STEMI and multivessel disease significantly reduced the risk of cardiovascular death or myocardial infarction compared to culprit-lesion-only PCI.
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